1. Integrated Working For Improved Patient Outcomes - Discharge Planning
Sligo University
Hospital/CHO1
Sligo Leitrim West Cavan
Mary Conlon
Mary Quinn

2. Key Elements in IDP Process
Community Service Discharge Liaison Officer
Liaison PHN
Discharge Facilitator SUH
Integrated Care Team for Older Persons (ICPOP)
Unscheduled Patient Pathway Group

3. How Integration Works in SUH
Good working relationships
MDT Meetings – Medical /Frail Elderly Wards
MDM/Case Conferences re Complex Discharges
Liaison PHN attends Navigation Hub
ICTOP
Falls Clinics
CIT
Pre Admission Clinic
CHO 1 reps at UPPG

4. Benefits Information Sharing
Early Identification of patients who require services
Improved engagement with patients/carers
NHSS – early planning/Geriatrician input
Aim to reduce LOS
Admission avoidance
Staff training

5. Challenges Ageing population
Client Groups i.e. Complex Care Needs, Alcohol Related Brain Injury
HIQA Requirements in Community Hospitals
Availability of Long Term Beds
Patients outside Sligo/LeitrimWest Cavan
Budgetary Constraints